Decisions 2 Disciples

Event (required)

Date

Your Name (required)

Address

City / State / Zip

Phone (required)

Email (required)

Your School's County and Level (required)

Grade (required)

Name of your School (required)

Do you have a home church? YESNO

Church Name


Discipleship friend (person that invited you to the meeting)

Discipleship's Phone

Name of the Church they attend